Pleasanton Mach Martial Arts Class Make Up Form

Pleasanton Mach Martial Arts Class Make Up Form

Please be advised that you can only make up if: 1) You are an active member (not on extension or leave). 2) You are making up for a missed class (in the past). You cannot make up a class that you will miss in the future. 3) You are making up for a class you missed for your current belt. If you promoted to a new belt, you cannot make up for a class you missed before you promoted.
Student's Full Name*

First NameLast Name
Email*
Please make sure you spell your email address correctly
I am a*
Pleasanton Schedule
You can check which dates you may have missed by logging into your account and going to the top menu and clicking the Attendance tab.
1st Date you missed class*

MonthDayYear
Date
1st Date you will make up class*

MonthDayYear
Choose the date you wish to make up for the class you missed.
2nd Date you missed class

MonthDayYear
You can leave this blank if you only need to make up for 1 class
2nd Date you will make up class

MonthDayYear
Choose the date you wish to make up for the class you missed.
3rd Date you missed class

MonthDayYear
You can leave this blank if you didn't miss 3 classes
3rd Date you will make up class

MonthDayYear
Choose the date you wish to make up for the class you missed.
4th Date you missed class

MonthDayYear
You can leave this blank if you didn't miss 4 classes
4th Date you will make up class

MonthDayYear
Choose the date you wish to make up for the class you missed.
5th Date you missed class

MonthDayYear
You can leave this blank if you didn't miss 5 classes
5th Date you will make up class

MonthDayYear
Choose the date you wish to make up for the class you missed.
By signing below, I verify that I understand the following: I can only make up if:

1. I am an active member (not on extension or leave).

2. I am making up for a missed class in the past. I cannot make up a class that I will miss in the future.

3. I am making up for a class I missed for my current belt. If I promoted to a new belt, I cannot make up for a class I missed before you promoted.
Signature*

Clear
Should be Empty: